Gower, Kellen H

Gower, Kellen H is an sole proprietor health care provider with primary practice located at 31075 Cortez Blvd , Brooksville FL 34602-7542. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gower, Kellen H can be contacted via phone (352) 796-5303.

Contact Information

Primary practice address
31075 Cortez Blvd Brooksville FL 34602-7542
Phone: (352) 796-5303
Fax: (352) 796-5304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME133818 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.38125 Alabama
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD.38125 Alabama

Profile Details

NPI number 1356796601
LBN Legal business name Gower, Kellen H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2016
Last updated Aug 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356796601 NPPES
Florida Other MMX5R BCBS
Florida Other MR083 BCBS

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